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Dewantoro et al. Vessel Plus 2018;2:20 Vessel Plus
DOI: 10.20517/2574-1209.2018.50

Review Open Access

Advantages and disadvantages of total arterial
coronary artery bypass graft as compared to venous
coronary artery bypass graft

Dickson Dewantoro , Antonio Nenna , Umberto Satriano , Massimo Chello , Cristiano Spadaccio 1
2
1
2
2
1 Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow G81 4DY, UK.
2 Department of Cardiovascular Surgery, Università Campus Bio-Medico di Roma, Rome 00128, Italy.
Correspondence to: Dr. Cristiano Spadaccio, Department of Cardiothoracic Surgery, Golden Jubilee National Hospital,
Agamemnon St, Glasgow, Clydebank G81 4DY, UK. E-mail: cristianospadaccio@gmail.com
How to cite this article: Dewantoro D, Nenna A, Satriano U, Chello M, Spadaccio C. Advantages and disadvantages of total
arterial coronary artery bypass graft as compared to venous coronary artery bypass graft. Vessel Plus 2018;2:20. http://dx.doi.
org/10.20517/2574-1209.2018.50
Received: 26 Jun 2018 First Decision: 17 Jul 2018 Revised: 23 Jul 2018 Accepted: 26 Jul 2018 Published: 16 Aug 2018

Science Editor: Mario F. L. Gaudino, Cristiano Spadaccio Copy Editor: Jun-Yao Li Production Editor: Huan-Liang Wu

Abstract
Considering the plethora of literature about surgical revascularization, this review aims to discuss the most recent
studies about the effects of total arterial coronary artery bypass graft (TACABG) compared with CABG that involves
venous graft (VCABG) in patients with multivessel coronary artery disease. Patients were sampled from published
papers that studied various aspects involving TACABG or VCABG. Resulting samples were used to compare the
complexity and 5 years’ outcomes of TACABG to VCABG in the revascularization of coronary arteries. TACABG
provides a better prognosis with average all-cause mortality within 5 years of 5.35% as compared to VACABG with
average of all-cause mortality within 5 years of 9.1%. Furthermore, assumption of deep sternal wound infection from
TACABG, especially when bilateral internal thoracic arteries were used, is very technique-dependent, as reports have
been showing that the rate of such infection to occur is less than 1%. TACABG was concluded to wield a better prognosis
within both short- and long- terms, although more research need to be done to prove its use in left main disease.

Keywords: Total arterial, internal thoracic artery, coronary artery disease, myocardial revascularization, coronary artery
bypass graft

INTRODUCTION
Coronary heart disease, or coronary artery disease (CAD), commonly caused by atherosclerosis, as men-
tioned by World Health Organization, has markedly lower prevalence within populations with lower life
expectancy. However, the presence of risk factors contributes greatly towards the prevalence of CAD, and 3.8

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
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